Turning over patient turnover: an ethnographic study of admissions, discharges, and transfers.
| Autor: | Jennings BM; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA, 30322., Sandelowski M, Higgins MK |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Research in nursing & health [Res Nurs Health] 2013 Dec; Vol. 36 (6), pp. 554-66. Date of Electronic Publication: 2013 Oct 08. |
| DOI: | 10.1002/nur.21565 |
| Abstrakt: | The impact on nursing work of patient turnover (admissions, discharges, and transfers) became evident in an ethnographic study of turbulence. The patient turnover data were generated from extensive observations, 21 formal interviews, and a year of admission and discharge records on one medical and one surgical unit. Timing of turnover events on the two units differed, but on both units admissions typically interrupted workflow more than did discharges, clustered admissions were more disruptive than staggered admissions, and patient turnover during change of shift was more disruptive than during medication administration. Understanding the complexity of patient turnover will elucidate the work involved and improve the evidence base for nurse staffing, a key determinant of quality and safety of care. (© 2013 Wiley Periodicals, Inc.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|
Plný text